Medicare Claims Specialist

Job Summary

A company is looking for a Medicare Specialist to manage and resolve Medicare claims for hospital or physician groups.

Key Responsibilities

• Resolve aged, outstanding, and denied medical claims to generate revenue
• Review and post adjustments on Medicare claims using various systems
• Maintain production criteria and a low error ratio while documenting account notes

Qualifications and Requirements

• High School Diploma or GED; some college preferred
• 1-2 years of experience with traditional Medicare claims
• 1-2 years of experience using the DDE Direct Data Entry system
• Able to type 50 words per minute
• Experience with Health Information Systems is beneficial